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Permit
REVISED Plumbing Permit Application iap I°V2,1 I Building Fixtures J3001 roR OFFICE ESE Oyl.v City of Tigard F H 5 Received M� '00651 Permit No.: III II • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: Inspection Line: 503.639.4175 TIcARn Date Ready/By: Juris: 61 See Page 2 for Internet: www.tigard-or.gov Notified Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE ®New construction 0 Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 01-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 1 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 13063 SW Foran Hills Ct. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Foran Hills Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: Foran Hills I Lot no.: 5 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK ,, Clothes washer 1 25.02 New, single family residence Dishwasher 1 25.02 Change contractor on existing permit Drinking fountain 25.02 Permit#: MST2021-00187 Ejectors/sump 25.02 El PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Fixture/sewer cap 25.02 Name: Stone Bridge Homes NW, LLC Floor drain/floor sink/hub 25.02 Address: 4230 Galewood St. Suite#100 Garbage disposal 1 25.02 City/State/ZIP: Lake Oswego, OR 97035 Hose bib 2 25.02 Phone:(503)387-7577 Fax:( ) Ice maker 12.51 l J APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: Stone Bridge Homes NW, LLC Primer 12.51 Contact name: Permit Tech Roof drain(commercial) 12.51 Address: 4230 Galewood St. Suite#100 Sink/basin/lavatory 6 25.02 City/State/ZIP: Lake Oswego, OR 97035 Solar units(potable water) 62.54 Phone:(503)387-7577 Fax::( ) Tub/shower/shower pan 2 12.51 Urinal 25.02 E-mail: portlandpermits@stonebridgehomesnw.com Water closet 3 25.02 CONTRACTOR 37.52 Water heater 1 Business name: Jardine Plumbing Waterpiping/DWV 56.29 Address: PO Box 186 Other: 25.02 City/State/ZIP: Estacada, OR 97023 Subtotal Minimum permit fee: $72.50 Phone:( ) Fax:( ) 3-; Plan review (25%of permit fee) CCB Lie.: 108747 Plumbing Lic.no.:93•y-4"8'53• .7 State surcharge(12%of permit fee) Authorized signature:jay Jardl!,vte TOTAL PERMIT FEE Date: 6-9-2021 This permit application expires if a permit is not obtained within 180 days Print name: Jay Jardine after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received : Permit 0: 13125 SW Hall Blvd.,Tigard,OR 97. s Plan Review B Phone: 503.718.2439 Fax: 503.598. I ` DateB : Related Permit 6: Inspection Line: 503.639.4175 J30, MIS"'- Ready DateBy: saris: 65 See Paget for 1 IGARD. Internet: www.tigard-or.gov FH5 Notified/Method. Supplemental Information E OF WORK . "ALA Ittvr W ❑X New construction D Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION illiai, exceeds 10,000 amps at 150 volts or 0 Floating buildings. © I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑ Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION s ❑Emergency system larger separately derived ❑Addition of new motor load of system. Job#: 3001 Job site address: 13063 SW Foran Hills Ct. t0olPor more . ❑ A","E",°I-z","l-3", City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy ty g ... ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name: Foran Hills ❑Hazardous locations. 0 Supply voltage for more than -- ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE 11111111111 Description I Qty. I Each Total • New residential single-or multi-family dwelling unit. Subdivision: Foran Hills I Lot#: 5 Includes attached garage. Tax map/parcel#: 1,000 sq ft or less 2 168.54 4 Ea.add'I 500 sq.ft.or portion 2 33.92 I - DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 New, single family residence Limited ener gy,multi-family 75.00 2 Permit#: MST2021-00187 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 al„PSOPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Stone Bridge Homes NW, LLC 200 amps or less 100.70 2 Address:4230 Galewood St. Suite#100 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Lake Oswego, OR 97035 601 amps to 1,000 amps 301 04 2 Phone:( 503) 387-7577 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: portlandpermits©stonebridgehomesnw.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 IN APPLICANT a=. ;;,'❑ CONTACT PERSON,`.. Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Stone Bridge Homes NW, LLC above service or feeder fee, 742 2 each branch circuit Contact name: Permit Tech B.Fee for branch circuits without Address: 4230 Galewood St. Suite#100 service or feeder fee,first branch 18 2 branch circuit City/State/ZIP: Lake Oswego, OR 97035 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503)387-7577 Fax: :( ) Each manufactured or modular 67.84 2 dwelEmail: ortland ermits stonebrid ehomesnw.com Reconnectlin onlservy and/or feeder P P � g only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Garner Electric Sign or outline lighting 6784 2 circuit ) limited-energy Address: 2920 SE Brookwood Ave. Suite#A Signal panel,alteration,or o exxtension. 0 See Page 2 2 City/State/ZIP: Hillsboro, OR 97123 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 503) 648-4552 Fax:( ) Investigation(1 hr min) 90.00/hr Email: chelsea@garnerelectric.com Industrial plant(I hr min) 78.18lhr Inspections for which no fee is 90.110/hr CCB Lie.: 1211591 Electrical Lie.: 24-305C Suprv.Lie.: 3707S specifically listed(vr hr min) ELECTRICAL PERMIT FEES Su rv.Electrician signature,required:P Clr;,0f� ,,�iriiii> Subtotal: Print name: Charles Garner Date: 7-22-2021 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: „ ../ea ee , --- Coo TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 7-22-2021 days after it has been accepted as complete. -- - -- • Number of inspections allowed per permit. I\Building\Permits\ELC_PermitApp_ELR_ERE.dor Rev 06/17/2015 440-4615T(11/05/COM/WEB CITY OF TIGARD MASTER PERMIT 'I" s COMMUNITY DEVELOPMENT Permit#: MST2021-00187 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2021 Parcel: 2S109AC08400 Jurisdiction: Tigard Site address: 13063 SW FORAN HILLS CT Subdivision: None Lot: None Project: Foran Hills, Lot 5 Project Description: New detached dwelling BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1122 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1578 sf Garage: 505 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2700 sf Value: $358,526.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Gr oup:yrou p: Square Feet: NEW SF VB R-3 2700 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALE WOOD ST STE 100 4230 GALE WOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $39,190.42 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: }(o7,LyVIvniDebUece Permittee Signature: O VI/Appll:Cat"wn Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 00 Building Permit Application ,I'L H5 Residential RECEIVE I FOR OFFICE USE ONLY City of Tigard DatReceivey:e/B iosi /ZOZ/ rem it No: MsTz021 Oo/8'7 d • 13125 SW Hall Blvd.,Tigard,OR 97223 Y- Phone: 503.718.2439 Fax: 503.598.1960 Plan Review q � Date/By: Permit rSWt22b21.-OC/21 Oez 7.4 i'-)4Inspection Line: 503.639.4175 CITY OF TIGARRD Date Ready/B �J ® See Page 2 for T I G A R n Internet: www.tigard-or.gov No. d/Method: 4 L/J(/t G Supplemental Information BUILDING DNISION `/////7 Ted ‘ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION it( indicated on this application. it( Valuation: S 55Qj s24' X❑ I-and 2-family dwelling ElCommercial/industrial ) 0 Accessory building El Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms:1>K3 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 3`).C) Job site address: 13063 SW Foran Hills Ct. New dwelling area:2,700 square feet 1 67 8 City/State/ZIP: Tigard, OR 97224 Garage/carport area: 505 square feet I ( a2.... Suite/bldg./apt.no.: Project name: Foran Hills Covered porch area: )14. square feet Cross street/directions to job site: Deck area: -7a square feet r stru' rcay...)/ 1 `l square feet R DA A•COMMERCIAL-USE CHECKLIST Subdivision: Foran Hills Lot no.: 5 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. New, single family residence Valuation: $ Existing building area: square feet New building area: square feet El PROPERTY OWNER ❑ TENANT Number of stories: Name: Stone Bridge Homes NW, LLC Type of construction: Address: 423-Galewood St. Suite#100 Occupancy groups: City/State/ZIP: Lake Oswego, OR 97035 Existing: Phone:(503)387-7577 Fax:( ) New: Iii APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please rejerrajeeschedule) Business name: Stone Bridge Homes NW, LLC Structural plan review fee(or deposit): Nag ag contact name: Permit Tech FLS plan review fee(if applicable): Address:4230 Galewood St. Suite#100 Total fees due upon application: City/State/ZIP: Lake Oswego, OR 97035 Amount received: Phone:( 503) 387-7577 Fax::( ) E-mail: portlandpermits@stonebridgehomesnw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Stone Bridge Homes NW, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 4230 Galewood St. Suite#100 Solar Installation Specialty Code checklist. City/State/ZIP: Lake Oswego, OR 97035 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)387-7577 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 173318 Total fee due upon application: $201.60 Authorized signature: ; `; y1 ,/(2�./2 f This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date: 5-6-2021 "Fee methodology set by Tri-County Building Industry Print name: Tiana Rudolf Service Board, 1:\Building\Permits\BUP-RESPermilApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) , Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Reseed I = Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associaa ted permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing El Mechanical TIGARit Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW yeti 5n N/.% 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑ 2 Zoning. Flood plain, solar balance points,seismic soils designation,historic district,etc. 0 ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: • ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity ❑ CI CI 6 Sewer permit. 0 ❑ 0 7 Water district approval. 0 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ® 0 ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ® ❑ 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, X❑ 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑x 0 0 floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑X ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- [Al 0 0 prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing x❑ 0 ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered El ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑x ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑X 0 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑X ❑ 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑x 0 ❑ architect licensed in Ore_on and shall be shown to be al plicable to the 8ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 1T'. 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. El ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FO12 OFFICE USE O,NI.I City of Tigard RECEIVE received Permit No.: Date/By: 111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ! Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit T IGARD Inspection Line: 503.639.4175 CITY OF TIGA Date Ready/By: orris M See Page 2 for RD Internet: www.tigard-or.gov Notified/Method: Supplemental Information '3UILDING DIVISIO': TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑X New construction Mechanical permit fees*are based on the value of the work ❑ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDEITAL EQUIPMENT/SYSTEMS FEES* ❑X 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 13063 SW Foran Hills Ct. (requires site plan showing placement) 46.75 Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTI7(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Foran Hills Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision: Foran Hills Lot no.: 5 Flue/vent for any of above 1 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 1 23.32 New, single family residence Gas fireplace 1 33.39 Flue vent for water heater or gas 2 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 IX—} PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation: Address: 4230 Galewood St. Suite#100 Range hood/other kitchen 1 equipment 33.39 City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, Phone:( 503)387-7577 Fax:( ) toilet compartments,utility rooms) 5 23.32 E1 APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32 Business name: Stone Bridge Homes NW, LLC Other: 23.32 Fuel piping: Contact name: Permit Tech S14.15 for first four;S4.03 for each additional Address: 4230 Galewood St. Suite#100 Furnace,etc. 1 Gas heat pump City/State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unit heater Phone:(503) 387-7577 Fax: :( ) Water heater 1 Fireplace 1 E-mail: portlandpermits@stonebridgehomesnw.com Range 1 CONTRACTOR Barbecue Business name: Comfort Zone Clothes dryer(gas) Other: Address: 1032 NW Corportate Dr. MECHANICAL PERMIT FEES* City/State/ZIP: Troutdale, OR 97060 Subtotal Minimum permit fee(S90.00) Phone:( 503)667-5595 Fax:( ) Plan review(25%of permit fee) CCB lie.: 110091 State surcharge(12%of permit fee) TOTAL PERMIT FEE ` r Thispermit application expires if a permit is not obtained within 180 Authorized signature: a x 7 f". /'v<�,I-t PP P' days after it has been accepted as complete. Print name: David Heldstab Date: 5-6-2021 * Fee methodology set by Tri-County Building Industry Service Board IaBuilding'PermitsUF_C-PermitApp.doc 09/09/10 440-4617T(I 1/02/COM/WEB) Electrical Permit Application RECEIVE ' FOR OFFICE USE ONLY City of Tigard Received � Date/By: Permit 4. v 13125 SW Hall Blvd.,Tigard,OR 97223 I - Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit 4: Inspection Line: 503.639.4175 CITY OF TIGARU Ready Date/By: lurk: ® See Page 2 for T 1 G ARD Notified/Method: Supplemental Information . Internet: www.tigard-or.gov 91..iii DING flllli ire TYPE OF WORK PLAN REVIEW 17 it ❑X New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 01-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural snips for all other installations. buildings. ❑ Multi-family ❑ Master builder 0 Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: 3001 Job site address: 13063 SW Foran Hills Ct. IooHPormore. ❑"A",'E "I2","1-3", City/State/ZIP: Tigard, OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Foran Hills ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Q . I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Foran Hills Lot#: 5 Includes attached garage. 1,000 sq.ft.or less 2 168.54 4 • Tax map/parcel#: E .add'l 500 sq.ft.or portion 2 33.92 I DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 New, single family residence Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ® PROPERTY OWNE)f*i`. 0 TENANT i Services or feeders installation,alteration,and/or relocation Name: Stone Bridge Homes NW, LLC 200 amps or less 100.70 2 Address:4230 Galewood St. Suite#100 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Lake Oswego, OR 97035 601 amps to 1,000 amps 301.04 2 Phone:( 503) 387-7577 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: portlandpermits@stonebridgehomesnw.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Stone Bridge Homes NW, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Permit Tech B.Fee for branch circuits without Address: 4230 Galewood St. Suite#100 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Lake Oswego, OR 97035 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: ( 503)387-7577 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: portlandpermits@stonebridgehomesnw.com • Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Electrical innovations Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 16453 S.E. 232nd Dr. panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Damascus, OR 97089 Additional inspection(1 hr min) 66.25/hr Phone:( 503)358-6989 Fax:( ) Investigation(I hr min) 90.00/hr Email: !(2 /' / Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 66412 Electrical Lie.: 26699L Suprv.Lic.:142./ specifically.listed('/r hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:7;97 Thomas, Subtotal: Print name: Terry Thomas Date: ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): J. (J / TOTAL PERMIT FEE: Authorized signature: ��fra�rtq ,tit j f This permit application expires if a permit is not obtained within 180 Print name: Tiana Rudolf Date: 5-6-2021 days after it has been accepted as complete. Number of inspections allowed per permit. IdBuilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 4404615T(11/05/COMIWEB Electrical Permit Application—City of Tigard ' Page 2—Supplemental Information • Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description I Qy. Each Total * yRenewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑x Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(%:hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page l): Fee for each commercial system: $75.00 • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation rl Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.\Building}Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 •• Plumbing Permit ApplicationoECEI V E 1 - Building Fixtures �R Folz OIL I( F l E (IN 1,) City of Tigard p' • ' 'l1 Received Permit Not ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: _ Plan Review II Phone: 503.718.2439 Fax: 503.598.196€ITY OF TIGARD Date/By Other Permit No.: Inspection Line: 503.639.4175 9UILDING DIVISIONFil T I G A IL D g g DNonfied/Method: luris. Supplemental Information e 2 for Internet: www.ti azd-or. ov TYPE OF WORK FEE* SCHEDULE ®New construction ❑Demolition For special information use checklist Description I Qty. I Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 ❑ I-and 2-famil y dwelling ❑Commercial/industrial SFR(2)bath 437.78 11 D Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑ Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFO RMATION AND LOCATION Site utilities: Job site address: 13063 SW Foran Hills Ct. Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: Tigard, OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: I Project name: Foran Hills Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Foran Hills I Lot no.: 5 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 1 25.02 New, single family residence Dishwasher 1 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER k 0 TENANT Expansion tank 12.51 Name: Stone Bridge Homes NW, LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: 4230 Galewood St. Suite#100 Garbage disposal 1 25.02 City/State/ZIP: Lake Oswego, OR 97035 Hose bib 2 25.02 Phone:(503)387-7577 Fax:( ) Ice maker 12.51 ® APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Stone Bridge Homes NW, LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: Permit Tech Roof drain(commercial) 12.51 Address: 4230 Galewood St. Suite#100 Sink/basin/lavatory 6 25.02 City/State/ZIP: Lake Oswego, OR 97035 Solar units(potable water) 62.54 Phone:(503)387-7577 Fax: :( ) Tub/shower/shower pan 2 12.51 E-mail: portlandpermits@stonebridgehomesnw.com Urinal 25.02 Water closet 3 25.02 CONTRACTOR Water heater 1 37.52 Business name: Edward Mullen Plumbing Waterpiping/DWV 56.29 Address: S. E. River Road Other: 25.02 City/State/ZIP: Hillsboro, OR 97113 Subtotal Phone:( 503) 640-0113 Fax:( ) Minimum permit fee: $72.50 Plan review (25%of permit fee) CCB Lic.:92689 Plumbing Lie.no.: 34-260PB State surcharge(12%of permit fee) Authorized signature:- F1 TOTAL PERMIT FEE Print name: Jeremy Crace Date: 5-6-2021 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. l:\Ruilding\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plan # 5 .4ar� Floors a- Large Bed rooms L4 Small 5 we LAV -) Tub Basement Vent 6 1st Floor I,,2 Water Heater - 2nd Floor 15/ zj AC /0 0 3rd Floor School 7a R-3 Total .9101D es - —] Garage 513 5 Total 'b��5 #for Elec 5 D ' City of Tigard q COMMUNITY DEVELOPMENT DEPARTMENT TiGARD Building Permit Review — Residential Building Permit #: M STZOZl-001 G7 Site Address: 13063 SW Foran Hills Ct Project Name: Foran Hills Lot #: 5 PInning Review Pit posal: New single detached house Verify address/suite#active in Accela. In River Ter rice: No ❑ Yes, River Terrace Review Addendum Si - Plan Elements: ,sion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper I •tamed trees with drip line and tree protection measures A'rawn to scale(standard architect or engineer scale) X:•otprint of new structure (including decks)and FFE A'4 o rth arrow FA, • 'ty locations&easements(required for new and additions) Lit: address,project or subdivision name and lot number %.id- •alk/driveway approach pplicant information(name and phone number) 7 �: ation of wells/septic systems ./ .t dimensions and building setback dimensions 1TAI :-t tree size,type and location I.•uare footage of buildings to be demolished V. reet names I r xisting structures on site 7 'omer elevations(2'contours if more than 4'diffe ntiaall A •t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? 'es o impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es o II Clean Water Services—Service Provider Letter (lot platted prior to 9/10/1995): Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No II Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: ❑Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No II WC Exemptio for ADU applied for: ❑Yes ❑ No Received: ❑ Y s ❑ No MI blic Facili 'es Improvement(PFI) Permit: equired: Yes,applicant was notified El No Applied For: Yes El No,stop intake tcu L and Use Case #: SUB2017-00005 Zoning: R-7 0 equired Setbacks: Front: 15 Rear: 15 Side: 5 Street Side: NSA Garage: 20 uilding H •t: Max. Height: 35 Actual Height: —2 Landscape ,rea: 20 % Lot Coverage I4 x• O o Entrance 1 • back no more than 8'from street-facing wall 1l P llel to street or offset 45 degrees or less Windows , linimum 12%of area of all street-facing facades Garage I Gara e door is behind widest street-facing wall Yes ElNo,one of the following is met: ❑gDoor extends no more than 5' from wall nd there is a covered porch extending beyond garage. Door extends no more than 5' from w and there is a 12 sq ft.window above garage on 2nd floor. Gara e door width is 12'or less 50%or less of facade 60%or less and includes 7 of following: Covered porch — Recessed entrance El Wall offset 1'Roof eave Fire shingles Accent siding _ Lap Siding ❑ Roof itch ❑ Gable,hi ,or gambrel roof Dormer Window trim Roof offset Window recess Window projection ❑ Balcony IV Visual Clearance Urban Fores Ian II ,ensitive Lands: 0 Yes No Type: ►r, Conditions met prior to issuance of building permit Notes: t 0 Approved By Planning: v''t if L Date: 5I111202 Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved I:\Building\Forms\BI dgPerm itRvw_RES_122419.docx 1 Building Permit Submittal Original Submittal Date: O/b g/262/ Site Plans: # 3 Building Plans: # 3 Building Permit#: � Enter building LW-Engineering ermit# above. �� Workflow Routing: 1J Planning L�J -Permit Coordinator LJ Building Workflow Sign-off: Sign-off for Planning (include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application,site plans,building plans,engineer and beam calculations and st details,if applicable,etc. Notes: By Permit Technician: , 'JP'/f / Date: 1.55//211QZ/ Engineering Review Slope at building pad: a X �Conditions "Met"prior to issuance of building permit nn LTEasements (encroachments) per engineering conditions of approval and plat 'ater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes L1-No Assess Water Quantity Fee in-lieu: ❑ Yes L�J N� LIDA Facility on lot: ❑ Yes & No Iinal Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: proved by Engineering: K , Ir6 51'� Z Date: S i 2.-Z.m 2/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption:5 ❑ Received Does not a ly SDC Fees Entered: Wash Co Trans Dev Tax: Z 2/Yes U N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A LIDA ❑ Yes EYN/A OK to Issue Permit Approved by Permit Coordinator: V / L . Date: 5(1 3(2424 I:1Building\Forms\BldgPermitRvw_RES_122419.docx CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT �� Permit#: MST2021-00187 and OR 97223 503.718.2439 Z TIGARD 13125SW HallBlvd., Date Issued: 05/27/2021 Tigard Parcel: 2S109AC08400 Jurisdiction: Tigard Site address: 13063 SW FORAN HILLS CT Subdivision: None Lot: None Project: Foran Hills, Lot 5 Project Description: New detached dwelling. REPRINT permit to add A/C. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1122 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 24 Bathrooms: 3 Second: 1578 sf Garage: 505 st Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2700 sf Value: $358,526.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain 0 Storm Sewer: 100 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add,500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2700 Owner: Contractor: STONE BRIDGE HOMES NW LLC STONE BRIDGE HOMES NW LLC Required Items and Reports(Conditions) 4230 GALEWOOD ST STE 100 4230 GALEWOOD STREET#100 1 Ersn Cntrl 503-639-4175 LAKE OSWEGO,OR 97035 LAKE OSWEGO,OR 97035 PHONE: PHONE: 503-387-7577 FAX: 503-387-7615 Total Fees: $39,242.78 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 r ugh OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ,{DYM O 1 l�-t I Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application EC E i VE ) FOR OFFICE USE ONLY III City of Tigard 2021 ■ Received _ • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:: G`22�Z/ Plan 4 G Permit No./l1s u,40�►/, Phone: 503.718.2439 Fax: 503.598.1960 J 300 TIGARD DateBReview y: Other Permit: 1 1 G A R D Inspection Line: 503.639.4175 FH5 5 , DIVISION Date Ready/By: orris: 1 Ei See Page 2 for Internet: www.tigard-or.gov Notified/Method ,2/4„, "4 Supplemental Information TYPE OF WORK ( COMMERCIAL FEE* SCHEDULE,-�SE,CHECKLIST Mechanical permit fees"are based on the value of the work X❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition D Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL.EQUIPMENT/SYSTEMS FEES* I] 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special infornrnrinn use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job Site address: 13063 SW Foran Hills Ct. (requires site plan showingplacetnent) �y 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU(ducts/vents) 1 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Foran Hills Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Ductwork 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision: Foran Hills Lot no.: 5 Flue/vent for any of above 1 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: era• ,. DESCRIPTION OF WORK Water heater 1 23.32 New, single family residence Gas fireplace 1 33.39 Flue vent for water heater or gas 2 Adding AC to existing permit: MST2021-00187 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 El PROPERTY'OWNER ( ❑_T TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation: Address: 4230 Galewood St. Suite#100 Range hood/other kitchen 1 -__ equipment 33.39 City/State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 1 33.39 Single-duct exhaust(bathrooms, Phone:( 503)387-7577 Fax: ( ) toilet compartments,utility rooms) 5 23.32 IJ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Business name: Stone Bridge Homes NW, LLC Other: 23.32 Fuel piping: Contact name: Permit Tech $14.15 for first four;$4.03 for each additional Address: 4230 Galewood St. Suite#100 Furnace,etc. 1 -- Gas heat pump City/State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unit heater Phone:(503) 387-7577 Fax::( ) Water heater 1 Fireplace 1 E-mail: portlandpermits@stonebridgehomesnw.com Range 1 a; CONTRACTOR Barbecue Business name: Comfort Zone Clothes dryer(gas) Other. Address: 1032 NW Corportate Dr. MECHAMCAL PERMIT FEES* City/state/ZIP: Troutdale, OR 97060 subtotal Minimum permit fee($90.00) Phone:( 503)667-5595 Fax:( ) Plan review(25%of permit fee) CCB lie.: 110091 State surcharge(12%of permit fee) ,,ff qy TOTAL PERMIT FEE .�2.• 3{p Authorized signature: j9a" JL - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: David Heldstab Date: 6-22-2021 • Fee methodology set by Tri-County Building Industry Service Board 1:1BuildinePermilstMEC.PernntApp.doc 09/09/10 440-4617r(11l02/C0M/WEB) Dianna Ornelas From: #Building Permit Technicians Sent: Tuesday,June 22, 2021 4:32 PM To: Tiana Rudolf Subject: RE: J3001 Foran Hills Lot 5, 13063 SW Foran Hills Ct. Mechanical Permit Application Adding AC to Existing Permit: MST2021-00187 Attachments: MST2021-00187.pdf Hello Tiana, This revised permit is ready to issue and the balance due is$52.36 (see attached invoice). The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2021-00187 under the Building tab. Payment can be made by'card' for a 3% service fee or select the 'check' payment option and there is no service fee. Please email the permit technicians at TigardBuildingPermits@tigard-or.gov once the fees are paid so that we can re- print the permit and email a copy. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From:Tiana Rudolf<Tianar@stonebridge-realty.com> Sent:Tuesday,June 22, 2021 11:08 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject:J3001 Foran Hills Lot 5, 13063 SW Foran Hills Ct. Mechanical Permit Application Adding AC to Existing Permit: MST2021-00187 Warning!This message was sent from outside your organization and we are unable to verify the sender. Good Morning, Attached is the Mechanical Permit application for J3001, Foran Hills Lot 5, 13063 SW Foran Hills Ct. to add AC to the existing permit, MST2021-00187 Thank you! Tiana Rudolf Stone Bridge Homes NW 1